Chapter 2 : Signs and Symptoms



Common Causes of Asthma arrow_upward


  • Coughing, generally during the night
  • Shortness of breath
  • Pain or feeling of tightness in the chest
  • Audible wheezing sound during exhalation

  • Unusual Symptoms in Asthma arrow_upward


  • Fast breathing and sighing
  • Fatigue
  • Difficulty while exercising
  • Anxiety and difficulty in concentration
  • Chronic cough without wheezing

  • Early Warning Signs of Asthma arrow_upward


  • Increased nighttime cough.
  • Cough or wheezing with physical activity.
  • Tiredness with activities that you normally could complete easily.
  • Decreases in your Peak Expiratory Flow Rate (PEFR)
  • Restless sleep or waking up tired.
  • Worsening allergy symptoms like persistent runny nose, dark circles under your eyes or itchy, inflamed skin.

  • Signs of Asthma Worsening arrow_upward


  • If you observe an increase in the intensity and frequency of the asthma signs, it is possible that your asthma is worsening.
  • This can also be confirmed using a device known as Peak Flow Meter (which measures air flow into the lungs).
  • A drop in peak flow rates is an indication of reduced lung functioning.
  • Also, if you need to use bronchodilators frequently to clear your respiratory system, then you may have to increase your asthma medication.
    • A bronchodilator is a substance that dilates the bronchi and bronchioles, decreasing resistance in the respiratory airway and increasing airflow to the lungs.
  • If your asthma starts worsening, you may eventually end up in the emergency room.
  • You must discuss with your doctor any further steps that may be required to bring your asthma back to a manageable level.

  • Late/Severe Symptoms arrow_upward


  • When asthma symptoms become severe, you will be unable to perform regular activities.
  • These symptoms occur in life-threatening asthma episodes. You need medical help right away.
  • Late/severe symptoms include:
    • Severe wheezing (both when breathing in and out)
    • Coughing that won’t stop
    • Very rapid breathing
    • Inability to catch your breath
    • Chest pain or pressure
    • Tightened neck and chest muscles (retractions)
    • Difficulty in talking
    • Inability to fully exhale
    • Feelings of anxiety or panic
    • Pale, sweaty face
    • Blue lips or fingernails


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